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Home My WebLink AboutS2022-0149 - Permits,fig cv rcit, City of Newport Beach - Building Division 'S2022-0149` 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3266 D � Jz Job Address: 1911 CLIFF DR Floor: Suite: Description of Work:SFR POOL & SPA REPLASTER Inspector Area: 3 Legal Description: N TR 1221 LOT 20 Owner: STONE ROBERT D Address: 1911 CLIFF DR NEWPORT BEACH, CA 92663 Phone: 714-328-2580 Applicant: WILLIAMS PAUL Address: 227 W CARLETON AVE ORANGE, CA 92867 Phone: 714-423-0179 Bldg: 1 Plan Check No: 1646-2022 Code Edit: 2019 Contractor: ALAN SMITH POOLS Address: 227 W CARLETON AVE ORANGE CA 92867 Phone: 714-628-9494 Con State Lie: 571196 Lie Expire: 06/30/2023 Bus Lie: BT00012422 Lie Exp Date: 08/31/2022 Building Rear: 0 Worker's Compensation Insurance Setbacks: Front: 20 Carrier: ARCH INS. CO. Left: 4 Policy No: ZAWC12545404 Right: 4 Expiration: 04101/2023 ,of Is ucuun FEES Construction Valuation: $20,192.00 Architect: Address: Phone: Engineer: Address: Phone: POOLPermit : S2022-0149 Project No : 1646-2022 Inspection Requests Phone (949)644-3255 Special Conditions: Issued Date: 06/29/2022 State Lie: State Lie: Building Permit Fee : $436.00 Record Management: $4.00 Water Quality- -- Permit Issuing Fee: $0.00 Building Dept Inspection Fee: $0.00 Investigation Fee: $0.00 Drainage, Permit Fee : $0.00 Water Quality Dept Insp Fee: $0.00 Building Green Fee: $1.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00 Plan Dept Plan Check: $52.00 Grading Consultant Fee: $0.00 Others Building Dep Plan Check: $379.32 $0.00 Building PC Investigation : $0.00 Additional Fee : $0.00 $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $872.32 Plan Check Fee : $0.00 PROCESSED BY: IrJ -5 PLAN CHECKED BY:: ZONING APPROVAL: ft P APPROVAL TO ISSUI PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance : OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner Cf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt f�Unl ;icensure under the Contractors' State License Law for the following reason: Cy n, 3'3nature te!cv' I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure tnat I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Cignztcre of Property Owner or Authorized Agent Date LICEP'SED CONTRF.CTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession Code, an on lice a is in full force Pod effect. License Class License No Date �' C i/ Zk Contractor Signature IN^P.I ERS' COMPENSATION DECLARATION r'0 PV'N . FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOREO [11 AND DOLLARS (E100,000), IN ADDITION TO THE LOSTOF]OMPENSITION, rAMAGES AS PROVIDED FOR IN SECTION 0106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm undo penalty of perjury one of the following declarations: I have and 'mill maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 'ormance of the wor;, for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa Trance carrier and policy number are: Policy Number ie of Agent Date JI certify that, in the perfornanc the ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree hat, if I should become subject the wo ers' ompen Lion provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. plicant signature of ApDate x �� Zr't • "ZZ )ECLARATION REGARDIN C(iffSTRUCTION LENDING AGENCY hereby affirm under penalty dfp6rjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordin sand state laws relating to building construction. I authorize representatives of this city or county to enterlhe ab ve-idea' ied property for inspection purposes. X signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name H v Date • 2Y • z 2 ACTION DATE BY D CLA TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE TIONSPART 61OFTITLE40ANDAQMDRULE All requiredalarms,latches 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO as part of a pool / spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in PERMITC4NCELLEO LJEPA PERMITEXTENDED LlAQMD POOLAIARMS ASBESTOS NOTIFI IS APPLICABLE TO INSTALLED ROPOSED DE OLI oN. place & be maintained for SIGNATURE: the I�fe� of the pool/spa X PERMITFINAL 7r